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Individual

AUTUMN FORD BURNETTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2041 GEORGIA AVE NW, SUITE 2303 TOWER BUILDING, WASHINGTON, DC 20060-0001
(202) 865-6723
(202) 865-1888
Mailing address
2041 GEORGIA AVE NW, SUITE 2303 TOWER BUILDING, WASHINGTON, DC 20060-0001
(202) 865-6723
(202) 865-1888

Taxonomy

Speciality
Code
Description
License number
State
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
0101241760
VA
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
MD042114
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1952514226
VA
Enumeration date
05/07/2007
Last updated
11/30/2023
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